Laparoscopic Splenectomy in Isolated High Grades Splenic Injuries

Not Applicable

Completed

• Conditions: Laparoscopic Surgery
• Interventions: Procedure: open splenectomy; Procedure: laparoscopic splenectomy for splenic injury in trauma

• Registration Number: NCT04329845
• Lead Sponsor: Zagazig University

Brief Summary

Background: Trauma laparoscopic splenectomy has no defined reasons. Compared trauma patient characteristics and results with laparoscopic and open splenectomies.

Methods: Patients aged 15 or older with blunt splenic injuries from January 2012 to July 2017 needed splenectomy. Demographics, splenic damage grade, approach (open or laparoscopic), surgery duration, intra-operative blood loss, transfusions, hospital stay, complications, and death were variables.

Detailed Description

The spleen might be injured in left lower chest or upper abdomen trauma. Rib cage, diaphragm, pancreas, and bowel injuries may occur with splenic injuries. Hemodynamic instability, a rising heart rate, and low blood pressure are symptoms of damage, however the mechanism of injury requires a high index of suspicion.

Study Timeline

• Study Start: 2012-01-01
• Primary Completion: 2017-07-01
• Study Completion: 2019-01-01
• Study First Submitted: 2020-03-30
• Study First Submitted QC: 2020-03-31
• Study First Posted: 2020-04-01
• Status Verified: 2024-03
• Last Update Submitted: 2024-03-26
• Last Update Posted: 2024-03-28

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 2

Inclusion Criteria

• • At least 15 years old.

  • Male and female (not pregnant) patients; • Sonar and CT scans before surgery showed single splenic damage;

Exclusion Criteria

• • Other damage to the abdomen, thorax, or nerves were found before surgery.

  • good use of non-surgical treatment or embolization
  • Woman who is pregnant.
  • Splenic cuts that go deep.
  • Previous surgery in the upper abdomen using a laparoscopic method. • Other injuries to the abdomen found during surgery, such as liver, intestine, or bladder injuries.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
open splenectomy for splenic injury in trauma	open splenectomy	open splenectomy as a technique for removal of the spleen in case of injury to spleen
laparoscopic splenectomy for splenic injury in trauma	laparoscopic splenectomy for splenic injury in trauma	laparoscopic splenectomy as a technique for removal of the spleen in case of injury to spleen

Primary Outcome Measures

Name	Time	Method
mortality	1.5 years	during operation or immediate postoperative

Secondary Outcome Measures

Name	Time	Method
intraoperative complications	5 years	intraoperative complications